Individual
DR. BENJAMIN JOSEPH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6431 FANNIN ST, HOUSTON, TX 77030-1501
(713) 500-7116
(713) 500-0782
Mailing address
6431 FANNIN STREET, JJL 271, HOUSTON, TX 77030
(713) 500-7878
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
582261
TX
Other
Enumeration date
04/18/2014
Last updated
02/02/2022
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